Brian Louis Boudreau, PA-C is a surgical physician assistant in Boston, MA. Brian Louis Boudreau, PA-C NPI is 1417352816. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
300 LONGWOOD AVE
DEPARTMENT OF OTOLARYNGOLOGY
BOSTON, MA
ZIP 02115-724
Phone: (617) 355-6460
The NPI 1417352816 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 10/28/2014 and was last updated on 10/28/2014.